MRS. Mindy Block Bacchus, LPC
NPI #1124313432 in Georgetown, Texas
Provider Information
- NPI Number
- 1124313432
- Entity Type
- Individual
- Name
- MRS. Mindy Block Bacchus, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jun 14, 2011
- Last Updated
- Jun 14, 2011
Practice Location
- Address
- 404 W 9TH ST
- Address 2
- SUITE 104
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-5543
- Phone
- (512) 864-5911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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